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Open Access Article

Contemporary Nursing. 2022; 3: (3) ; 12-15 ; DOI: 10.12208/j.cn.20220072.

Effect of ERAS on the perioperative fasting of children with hernia children
ERAS对疝气患儿围手术期禁食时间的影响

作者: 范蓉, 刘新 *, 吕学红, 马佳羽, 王婷

宁夏医科大学总医院 宁夏银川

*通讯作者: 刘新,单位:宁夏医科大学总医院 宁夏银川;

发布时间: 2022-05-13 总浏览量: 358

摘要

目的 本次研究主要是为了分析对于围手术期内的疝气患儿,实施快速康复外科护理(ERAS)对患者禁食时间的影响。方法 将2020年1月~2021年12月在我院接受手术治疗的疝气患者作为此次研究实验的对象,共选取100例,按照入院的先后顺序将患者均分为两组,然后分别将ERAS、常规护理应用于研究组和对照组患者的治疗过程中,比较两组患者的临床效果差异。结果 (1)对于手术之前1小时和清醒后1小时的饥饿性哭吵发生情况,研究组患者均比对照组患者轻微(p<0.05);(2)研究组患者禁止饮水和禁奶的时间均更短(p<0.05);(3)两组患者家属对于护理的满意度有明显的差异,研究组患者明显更加满意(p<0.05)。结论 疝气患者在接受手术治疗之后很可能需要禁食禁水,而实施ERAS可以有效缩短患者的禁食时间,患者出现哭闹的情况也大大减少,因此研究组患者家属对于ERAS的护理效果更加满意,值得推广。

关键词: ERAS;疝气;围手术期;禁食时间

Abstract

Objective To analyze the impact of rapid rehabilitation surgical care (ERAS) on patients' fasting time for patients with hernias during the perioperative period.
Methods from January 2020 to December 2021, patients who received surgery in our hospital as the object of this research experiment, selected a total of 100 cases, and the patients were divided into two groups in the order of admission, and then ERAS was separated respectively. In the treatment of regular nursing in the treatment of patients in the research group and control group, the clinical effects of the two groups of patients are compared.
Results (1) For the occurrence of hunger crying 1 hour before surgery and 1 hour after awake, the patients of the research group were slightly slightly slightly compared to patients in the control group (P <0.05); Both were shorter (P <0.05); (3) The family members of the two groups were significantly different about the satisfaction of nursing, and the patients of the research group were significantly satisfied (P <0.05).
Conclusion   that patients with hernias are likely to need to fast and prohibitive after undergoing surgery, and implementing ERAS can effectively shorten patients' fasting time, and the patient's crying situation is greatly reduced. Therefore , Worth promoting.

Key words: ERAS; Hernia; Perioperative surgery; Fasting time

参考文献 References

[1] 姚海霞,周海霞,王洁,李水学.加速康复外科技术在小儿腹腔镜食道裂孔疝修补Nissen术围手术期护理中的应用[J].中华胃食管反流病电子杂志,2020,7(2):124-127.

[2] 李美林,何晓睿,高艳,柯燕,王会.快速康复外科理念在腹腔镜小儿疝囊高位结扎术围手术期护理中的应用效果[J].安徽医学,2016,0(10):1294-1296.

[3] 葛月兰.健康管理联合腹腔镜对小儿腹股沟疝手术患儿术后VAS评分、儿童QOL评分及康复质量的影响[J].中国妇幼保健,2020,35(8):1380-1382.

[4] 张爱华,赵海霞,吴兴春.基于赋能理论的多维干预结合FTS模式在行腹股沟斜疝无张力修补术老年患者中的应用[J].齐鲁护理杂志,2020,26(24):132-134.

[5] 徐碧文,郑晓蓝,郑伟,廖辛花,罗万里.缩短术前禁食禁饮时间对妇科腹腔镜手术患者术后胃肠道功能恢复的影响[J].实用临床护理学电子杂志,2019,4(30):140-140.

[6] 戴庆妍,李松芝,李国翠.快速康复外科在腹腔镜手术治疗小儿阑尾炎围术期护理中的应用效果观察[J].实用临床医药杂志,2017,21(14):193-194.

[7] 贺轲,向国安,夏正林,黄睿,段小鹏,周文杰,何景亮.经脐两孔法腹腔镜腹股沟疝内环高位结扎加脐外侧襞加强术治疗小儿腹股沟斜疝(附108例报告)[J].腹腔镜外科杂志,2016,21(12):932-935.

[8] 李三石,李从军,代景友.腹腔镜下疝囊高位结扎联合脐正中襞修补术与传统手术对小儿腹股沟斜疝术后复发率的影响[J].临床和实验医学杂志,2020,19(17):1888-1891.

[9] 梁芳,杨雅茹.针对性护理对老年急性阑尾炎患者腹腔镜阑尾切除术后下肢深静脉血栓形成的影响[J].血栓与止血学,2019,25(4):683-685.

引用本文

范蓉, 刘新, 吕学红, 马佳羽, 王婷, ERAS对疝气患儿围手术期禁食时间的影响[J]. 当代护理, 2022; 3: (3) : 12-15.